Schedule an appointment – Upper Valley Compassionate Veterinary Care

Scheduling Form

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Alternate Phone

Your family veterinarian’s name and/or the name of their practice(Required)

Pets Name(Required)

Cat or Dog?(Required)

Approximate pet’s weight in pounds - If your pet is 100 pounds and over and you choose cremation through us, or do not have someone in the home to assist in the lifting of your pet that is over 40 pounds, the crematory will meet us directly at your home. This incurs an extra crematory-assistance charge.(Required)

Breed and color of your pet?

Pet’s gender(Required)

Pet’s age(Required)

Please describe your concerns about your pet

Any information we should know when approaching or handling your pet? For example, ringing the doorbell upsets my pet so please call before entering the home

Will you be handling aftercare yourself? For example, home burial or you are planning your own transport to the crematory(Required)

If you elect cremation services through UVCVC, do you choose private (where you receive your pet's cremains back,) or communal cremation (you pet's cremains are thoughtfully spread at a garden at the crematory in Middleborough MA)?

If private cremation is chosen, how would you like your pet’s ashes back?

If you elect cremation services through us, is there someone to help lift your pet into my vehicle afterward? For pets over 40 pounds.

Please call (603) 558-5866 one day before your appointment to ask if medications your pet is taking should be given the day of the appointment.(Required)

Ok, I will call to ask about my pets medications 1 day before the appointment.

Any Questions or Concerns?

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